Displaying 89911-89920 of 1611142 results.
ID:
89911
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
349491
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89912
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
853201
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
89913
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649990
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89914
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650030
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89915
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
198201
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89916
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
728109
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
180
ID:
89917
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
312122
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
42
Qty Limit Days:
180
ID:
89918
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
200346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89919
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
308135
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89920
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
309054
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
89911899128991389914899158991689917899188991989920